MEDICARE: MS. ELIZABETH JANETTE WOODS APRN, MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	221021	TX

General Provider Information

NPI Number	:	1184654618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH JANETTE WOODS APRN, MSN

Provider Business Mailing Address
First Line	:	15306 GREG ST
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79118-3049
Country	:	US
Telephone Number	:	806-654-7022
Fax Number	:

Provider Business Practice Location Address
First Line	:	15306 GREG ST
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79118-3049
Country	:	US
Telephone Number	:	806-654-7022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	01/25/2013

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